HomeMy WebLinkAboutBP18-075PERMIT p 14
SECTION
TYPE OF WORT
JOB LOCATION
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BUIL TMENT
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938 KING ET RYE BR ,NY 10573 V
(914)9 39-5801 DEC 1 1 2017
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VILLAGE
FOR OFFICE USE ONLY: rr��
Approval Date: JUN - 112W Permit#' $'V 15 Application#
Approval Signature: ARCHITECTURAL REVIEW BOARD:
Disapproved: Date:
BOT Approval Date: Case# Chairman:
PB Approval Date: Case# Secretary:
ZBA Approval Date: Case#
Other:
Application Fee: Permit Fees:
EXTERIOR BUILDING PERMIT APPLICATION
Application dated: is hereby made to the Building Inspector of the Village of Rye Brook,NY,for the issuance of a Permit for the
construction of buildings,structures,additions,alterations or for a change in use,as per detailed statement described below.
1. JobAddress: HOrJ/�y�S��C'KLk �p�!!� /ZY& GL'ODI� AJ 1 /US73
2. Parcel ID#: /Z q• Zj ` / - / 20 Zone:
3. Proposed Improvement(Describe in detail): /j�W i atjc AU4-e T/utit -S/NlrLk Argm/CV
AuJkcci,_fGf /4-AJ/) 6/4,eA44:,
4. Property Owner. S C 2 t/k t3 200lL VH e TAf/-4 S L L L
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Address:�tk rude Ta�1 G�QokP� S /�vr'�enr/+ ioNR� n2 ,STD /1Y a y4 Qom/ Ny
of
Phone# q f l Z Zy'-,5,0 4- Cell# cI/# Z Z y -5 05 4- e-mail J A/R0/S L4 OM
List All Other Properties Owned in Rye Brook: /\j D hjdt—
Applicant:
Address:
Phone# Cell# e-mail
Architect:
Address:
Phone# Cell# e-mail
Engineer:
Address:
Phone# Cell# e-mail
General Contractor: SC Rye Brook Partners LLC - Jeff DuBois
Address: 5 International Drive Suite 114 , Rye Brook NY 10573
Phone# Cell# 914-224-5056 e-mail
(1)
12.8.16
This form must be properly completed & notarized by the Design Professional of
record and the Property Owner. Failure to provide this completed form with your
permit application will delay the permitting process.
Notice of Utilization of Truss Type, Pre-Engineered Wood,
or Timber Frame Construction.
"Title 19 Part 1264 & 1265 NYCRR
To: The Building Inspector of the Village of Rye Brook.
From: 6elA14 S/l�cLL— C'c/�TS�c�I ��tiSlCtni eCN 1 i¢C ilc2kr
Subject Propert.-: 1 Honeysuckle Lane SBL: 129.25-1-1.20 7_one: PUD
Please take notice that the subject; eOne or Two Family; ❑ Commercial,
Cl"New Structure
❑ Addition to an Existing Structure
❑ Rehabilitation to an Existing Structure
to be constructed or performed at the subject property will utilize;
B'Truss Type Construction (TT)
El"Pre-Engineered Wood Construction(PW)
❑ Timber Construction(TC)
in the following location(s);
❑ Floor Framing, including Girders & Beams (F)
❑ Roof Framing (R)
Z Floor Framing and Roof Framing (FR)
Please note that prior to the issuance of the Certificate of Occupancy, the subject dwelling or
building utilizing truss type, pre-engineered wood, or timber construction must be posted with a
Truss Identification Sign, installed in conformance with NYCRR§1264 for Commercial Buildings,
and NYCRR§1265 for One & Two Family Dwellings.
Date Design Professional
1217//-)
Date — — — r —
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Date TRISHA MARTINEZ NOS` Public
NOTARY PUBLIC-STATE OF NEW YORK
No. 01 MA6331 843
Qualified in Dutchess County
My Commission Expires October 19. 201